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Epiphyseal cortical irregularity

Case contributed by Hisham Alwakkaa
Diagnosis certain

Presentation

Leg pain since seven days.

Patient Data

Age: 3 years
Gender: Male
x-ray

There is mild irregularity with fragmentation of the medial aspect of the distal femoral epiphysis, best appreciated on the AP projection.

x-ray

Mildly irregular and fragmented appearance of the medial aspect of the distal femoral epiphysis (red circle)

Case Discussion

This case represents a normal anatomical variation, where the medial aspect of the distal femoral epiphysis appears irregular and fragmented, and should not be confused with any pathology like osteomyelitis or neoplastic lesions.

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